| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
42,061 |
36,164 |
$2.49M |
| 0762 |
|
2,965 |
1,677 |
$1.08M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,245 |
3,035 |
$601K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,060 |
5,349 |
$418K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
4,952 |
4,556 |
$363K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,887 |
2,706 |
$351K |
| 80053 |
Comprehensive metabolic panel |
16,388 |
14,207 |
$264K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
3,424 |
3,037 |
$249K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
943 |
887 |
$235K |
| Z7502 |
|
6,072 |
5,947 |
$227K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,473 |
15,878 |
$211K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,302 |
5,565 |
$183K |
| 0360 |
|
1,662 |
941 |
$167K |
| 0750 |
|
1,272 |
1,085 |
$141K |
| 71045 |
Radiologic examination, chest; single view |
7,723 |
7,099 |
$110K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,873 |
4,457 |
$98K |
| 81025 |
|
10,950 |
9,851 |
$90K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,255 |
2,869 |
$87K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
365 |
343 |
$84K |
| 83690 |
|
7,408 |
6,698 |
$79K |
| 82553 |
|
4,540 |
4,030 |
$72K |
| 96379 |
|
1,959 |
1,814 |
$70K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,097 |
1,038 |
$65K |
| 84484 |
|
4,695 |
4,132 |
$63K |
| 82150 |
|
6,236 |
5,691 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
2,136 |
1,988 |
$56K |
| 81003 |
|
16,069 |
12,816 |
$54K |
| 83880 |
|
2,137 |
1,916 |
$46K |
| 85730 |
|
5,449 |
4,986 |
$45K |
| 76801 |
|
665 |
563 |
$44K |
| 82550 |
|
4,716 |
4,187 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
567 |
551 |
$37K |
| 76830 |
Ultrasound, transvaginal |
493 |
477 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
687 |
624 |
$31K |
| 85610 |
|
5,735 |
5,235 |
$30K |
| 70486 |
|
136 |
134 |
$29K |
| J3490 |
Unclassified drugs |
14,553 |
12,497 |
$28K |
| 74018 |
|
1,314 |
1,238 |
$28K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
580 |
528 |
$28K |
| 0710 |
|
968 |
913 |
$27K |
| 59025 |
Fetal non-stress test |
1,409 |
945 |
$25K |
| Z9725 |
|
827 |
822 |
$25K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,173 |
5,461 |
$24K |
| 84703 |
|
1,947 |
1,847 |
$22K |
| 93971 |
|
191 |
178 |
$22K |
| 83605 |
|
1,427 |
1,287 |
$21K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,059 |
879 |
$21K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
602 |
548 |
$20K |
| 82947 |
|
4,287 |
3,342 |
$20K |
| 99499 |
|
300 |
271 |
$19K |
| 73610 |
|
700 |
670 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,387 |
1,314 |
$19K |
| 73630 |
|
721 |
687 |
$18K |
| 84702 |
|
958 |
808 |
$18K |
| 90715 |
|
526 |
500 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
302 |
256 |
$18K |
| 72100 |
|
577 |
548 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
706 |
659 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,857 |
1,723 |
$16K |
| Z7610 |
|
1,316 |
1,265 |
$16K |
| 73130 |
|
579 |
544 |
$16K |
| 99070 |
|
6,526 |
5,005 |
$15K |
| 87040 |
|
1,039 |
948 |
$14K |
| 73030 |
|
531 |
511 |
$14K |
| 73564 |
|
477 |
453 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,116 |
1,034 |
$14K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
646 |
561 |
$14K |
| 87400 |
|
2,090 |
1,926 |
$12K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,063 |
4,637 |
$11K |
| 73110 |
|
358 |
339 |
$10K |
| 81001 |
|
1,822 |
1,675 |
$10K |
| G0378 |
Hospital observation service, per hour |
38 |
12 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
37 |
37 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
130 |
111 |
$9K |
| 87420 |
|
563 |
524 |
$8K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
555 |
524 |
$8K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,390 |
2,021 |
$8K |
| 72131 |
|
32 |
27 |
$8K |
| 85379 |
|
411 |
395 |
$7K |
| 88313 |
|
659 |
626 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,515 |
4,051 |
$7K |
| 82140 |
|
430 |
339 |
$7K |
| 73080 |
|
238 |
227 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
111 |
109 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
383 |
320 |
$6K |
| 86901 |
|
977 |
903 |
$6K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
254 |
232 |
$5K |
| 86140 |
|
730 |
653 |
$5K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,425 |
1,194 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,979 |
1,802 |
$5K |
| 86850 |
|
556 |
525 |
$5K |
| 88312 |
|
612 |
580 |
$5K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
150 |
120 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
462 |
419 |
$4K |
| 73140 |
|
260 |
237 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,086 |
948 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,755 |
2,591 |
$4K |
| 83735 |
|
584 |
394 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
41 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
436 |
302 |
$4K |
| 86900 |
|
976 |
902 |
$4K |
| 12001 |
|
252 |
238 |
$4K |
| 71250 |
|
16 |
13 |
$4K |
| 72040 |
|
119 |
119 |
$3K |
| 82803 |
|
131 |
115 |
$3K |
| 73590 |
|
151 |
145 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
504 |
447 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,774 |
1,468 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
74 |
65 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,960 |
1,841 |
$3K |
| 71010 |
|
166 |
148 |
$3K |
| 29125 |
|
397 |
369 |
$2K |
| 73090 |
|
110 |
108 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
185 |
172 |
$2K |
| 93307 |
|
14 |
12 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
185 |
168 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,456 |
1,334 |
$2K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
413 |
384 |
$2K |
| 29540 |
|
239 |
228 |
$2K |
| 71020 |
|
58 |
49 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
701 |
645 |
$2K |
| 12011 |
|
71 |
66 |
$2K |
| 73562 |
|
70 |
67 |
$2K |
| 29515 |
|
192 |
176 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,900 |
1,746 |
$1K |
| J2060 |
Injection, lorazepam, 2 mg |
842 |
755 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
867 |
768 |
$1K |
| 82010 |
|
100 |
93 |
$1K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
530 |
485 |
$1K |
| 84145 |
|
73 |
67 |
$1K |
| 87088 |
|
146 |
142 |
$1K |
| 80076 |
|
189 |
172 |
$1K |
| 29530 |
|
130 |
118 |
$943.32 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
15 |
$934.27 |
| 74000 |
|
43 |
41 |
$859.80 |
| 88307 |
|
41 |
39 |
$834.94 |
| 84550 |
|
144 |
130 |
$790.22 |
| 0250 |
|
674 |
515 |
$735.65 |
| 10060 |
|
42 |
39 |
$728.87 |
| 71101 |
|
14 |
14 |
$719.46 |
| 85652 |
|
206 |
157 |
$662.12 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
352 |
320 |
$645.21 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
649 |
598 |
$635.35 |
| 74022 |
|
12 |
12 |
$587.55 |
| 87070 |
|
58 |
56 |
$582.38 |
| E0110 |
Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips |
16 |
16 |
$574.89 |
| 84100 |
|
116 |
74 |
$565.74 |
| 82247 |
|
99 |
78 |
$562.32 |
| 29105 |
|
71 |
67 |
$502.38 |
| 81015 |
|
260 |
226 |
$421.93 |
| 73502 |
|
14 |
14 |
$372.39 |
| 0270 |
|
155 |
148 |
$220.82 |
| 12002 |
|
15 |
15 |
$210.00 |
| 29130 |
|
26 |
26 |
$191.94 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
12 |
$180.00 |
| 29505 |
|
17 |
12 |
$122.22 |
| 45381 |
|
13 |
12 |
$100.00 |
| 80061 |
Lipid panel |
14 |
12 |
$99.50 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
13 |
13 |
$79.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$66.96 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
27 |
24 |
$55.81 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
13 |
12 |
$55.51 |
| J1815 |
Injection, insulin, per 5 units |
43 |
27 |
$54.31 |
| 85007 |
|
19 |
14 |
$52.26 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
404 |
365 |
$50.37 |
| 89060 |
|
14 |
14 |
$33.96 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
41 |
24 |
$27.98 |
| A9270 |
Non-covered item or service |
614 |
448 |
$10.34 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
48 |
44 |
$4.09 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
12 |
12 |
$2.60 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
14 |
14 |
$0.13 |